ALICIA PETROFF (NPI# 1750742458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750742458 |
| Entity Type | Individual |
| Full Name | ALICIA PETROFF |
| Practice Address |
2829 Verndale Ave Anoka MN 55303-1620 |
| Practice Telephone | 7632337263 |
| Mailing Telephone | 7632337263 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01178 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2829 VERNDALE AVE |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982932802 | Joni Karla Britton | Social Worker | 2829 Verndale Ave, Suite 3, Anoka, MN 55303-1620 | 2009-12-04 |
| 1922518885 | Jeremy Derheim | Occupational Therapist | 2829 Verndale Ave, Anoka, MN 55303 | 2017-10-05 |
| 1760917710 | Michelle Pettit | Occupational Therapist | 2829 Verndale Ave, Pediatric Therapy Department, Anoka, MN 55303-1620 | 2017-04-27 |
| 1093254559 | Elizabeth Geiger | Occupational Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2017-02-16 |
| 1992248231 | Gretchen Phung | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-11-18 |
| 1922450188 | Paula Jean Qualen | Speech-Language Pathologist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-07-11 |
| 1306204078 | Jessica Hase | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-02-09 |
| 1427415777 | Kimberly Mensing | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-01-18 |
| 1114322369 | Trisha Matter | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2014-10-30 |
| 1205172483 | Lindsey K Brune | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2012-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857492 | Nora Matthews | Counselor | 2665 4th Ave Ste 20, Anoka, MN 55303-6629 | 2015-12-26 |
| 1518213636 | Michael Dean Lindemann | Counselor | 3824 7th Ave Lowr Level, Anoka, MN 55303-4843 | 2012-07-26 |
| 1194375279 | Chelsea Nackers | Counselor | 1833 3rd Ave, Anoka, MN 55303-2424 | 2019-09-19 |
| 1295259638 | Jillian Montgomery | Counselor | 1833 3rd Ave, Anoka, MN 55303-2424 | 2017-07-27 |
| 1063949113 | Amanda Rose Lemay | Counselor | 1833 3rd Ave, Anoka, MN 55303-2424 | 2017-05-19 |
| 1437604501 | Lindsey Schultz | Counselor | 1833 3rd Ave, Anoka, MN 55303-2424 | 2016-08-18 |
| 1023496858 | Samantha Zilverberg | Counselor | 1833 3rd Ave, Anoka, MN 55303 | 2015-05-13 |
| 1043635055 | Julie Bosacker | Counselor | 1833 3rd Ave, Anoka, MN 55303-2424 | 2014-02-27 |
| 1467892489 | Denise Marie Kirmis | Counselor | 3300 4th Ave, Building #9, Anoka, MN 55303-1161 | 2013-07-05 |
| 1174846802 | Jenny Lynn Kraft | Counselor | 1833 3rd Ave, Anoka, MN 55303-2424 | 2010-03-09 |
| Find all providers in ANOKA | ||||
Please comment or provide details below to improve the information on ALICIA PETROFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.